Medicaid Compliance Analyst: Risk & Audit Support
CVS Health
CVS Health is seeking a compliance professional to support Medicaid managed care compliance programs, reporting to the Compliance Officer and team. The role involves building systems, delivering regulatory deliverables, and ensuring ethical operations across health plans. Qualifications include a Bachelor's degree (risk management preferred) with 0–2 years of related experience. The role offers full-time hours, 40 weekly, and a competitive pay range with benefits. #J-18808-Ljbffr CVS Health
$128k - $252.5k
...clients evaluate business issues, improve decision-making, and support transformation in a rapidly evolving market. This role offers the... ...Prepare incurred but not reported (IBNR) modeling spreadsheets for audit reviews and support project management activities, including...SuggestedWork at officeLocal areaVisa sponsorship- ...Studios is seeking a Billing & Compliance Coordinator in Columbus, Ohio.... ...role is essential for ensuring Medicaid waiver billing accuracy and compliance while supporting a vibrant environment. You will... ...monitor billing trends, conduct audits, and work collaboratively with...Suggested
- ...seeking a Credentialing Specialist in Southeast, OH. The role focuses on processing provider credentialing with Medicaid and other payers, while supporting related billing and billing operations to aid reimbursement for behavioral health services. The position requires...Suggested
$148.2k - $292.3k
...improve decision-making, and support transformation in a rapidly evolving... ...modeling, underwriting, and risk analysis methodologies to... ...connection with Deloitte & Touche audit engagements Develop... ...medical, small group, or state Medicaid markets The wage range for this...SuggestedLocal areaVisa sponsorship$57k - $113k
..., MI* Chicago, IL* Charlotte, NC**Summary:** The Sr GRC Programmer/Analyst modifies existing software/application programs, which are typically more complex in nature, or writes new programs to support user and management needs within the GRC application space. Will be...SuggestedFull timeH1bWork at officeRemote workWork from homeFlexible hours- The Sr GRC Programmer/Analyst at Huntington National Bank modifies existing software applications and develops new ones to support governance, risk and compliance needs across the GRC space. This role is onsite at Huntington corporate offices nationwide, with locations...
- ...across operations, technology, risk, finance, marketing, and... ...create measurable value and support the continued growth of APCO... ...for a Senior Security Risk & Compliance Analyst to support and strengthen APCO... ...compliance. What You'll Do Audit & Compliance Support the planning...Temporary work
- First Merchants Bank is seeking an HR Risk & Compliance Specialist to join our team. This role provides operational and administrative support for HR risk management, compliance, governance, investigations, and audit activities. You will assist with risk assessments, audits...
- Pinkerton is seeking an Investigative Analyst assigned to a client to monitor a wide range of information sources and intelligence feeds, identifying potential threats and producing concise intelligence reports. The role provides real-time situational awareness during incidents...
- ...and application process. The Office of Compliance and Integrity (C&I) is interconnected with... ...across OSUWMC. The C&I Compliance Analyst is a highly visible position that interacts... ...limited to investigations, monitoring and auditing, staff education, and regulatory identification...Temporary workWork experience placementWork at officeLocal area
$100.4k - $197.9k
...data sets, and other project accelerators in a consulting environmentCollaborate with cross-functional teams and senior leaders to support solution development, sales efforts, actuarial assurance activities, and practice development initiatives A successful candidate would...Local areaVisa sponsorship$100.4k - $197.9k
...practice as an Actuarial Consultant and help clients address complex challenges across the health care ecosystem. In this role, you will support strategic and technical consulting engagements for health plans, providers, pharmacy benefit managers, and federal and state...Work at officeLocal areaVisa sponsorship- ...a Credentialing Specialist to manage provider credentialing and related billing operations in Southeast Ohio. The role emphasizes Medicaid, with potential Medicare or private payer work, and involves maintaining portals like CAQH, PECOS, and CMS systems. Responsibilities...
- Sutton Bank in Columbus, Ohio seeks a Compliance Analyst to monitor and test payments programs effectively. The role requires ensuring compliance with federal regulations while conducting detailed testing and analysis. Ideal candidates will possess strong analytical and...
- ...reports for senior management and the parent company, supporting the annual profit plan and audits. The role reports to the Financial Manager, FP&A and is... ...in Denver, CO, the position emphasizes data analysis, risk assessment, and collaboration with Controllers and Sales...
- ...that is responsible, ethically sound, and compliance with applicable law. USUP’s Compliance... ...function of USUP’s compliance program is auditing and monitoring compliance with billing,... ...## U.S. Urology Partners was formed to support urology practices through an experienced...Work at officeLocal area
- Procurement Grants & Loans Compliance Analyst | 1063089 OUR GOAL: Treat our consultants... ...Loans Compliance Analyst to support administration and execution... ..., certification tracking, audit support, and process... ...reporting, quality control, risk management, etc. Licenses/Certifications...Contract workLocal area
$50k - $55k
Billing & Compliance Coordinator Join Our Team at Our Town Studios. At... ...programs and personalized support, we empower the people we support... ...responsible for overseeing Medicaid waiver billing processes, monitoring... ...requirements, conducting audits, and working collaboratively...Work at office- ...Columbus, OH seeks an Information Security Specialist to support the Information Security and Risk Department. This role participates in security policy... .... The position emphasizes collaboration, policy compliance, and continuous learning to address evolving security...
- ..., strengthen governance and oversight, and support high‑impact investigations. Partnering across Fraud Operations, Risk, Compliance, and Technology, you’ll improve data quality... ...oversight practices meet regulatory and audit expectations. You’ll also contribute to stronger...
- Woda Cooper Companies, Inc. is seeking a Portfolio Manager/Compliance Analyst to work remotely with limited travel. You will manage audits, occupancy reporting, and investor-ready documentation for a diverse affordable housing portfolio across multiple states. The role...Remote jobWork at office
$180.2k - $355.1k
...business issues, improve decision-making, and support transformation in a rapidly evolving... ..., predictive modeling, underwriting, and risk analysis methodologies to support client... ...individual medical, small group, or state Medicaid markets The wage range for this role takes...Local areaVisa sponsorship$140k - $165k
Job Title: Director of Risk & Compliance Officer Job Overview: Contemporary Staffing Solutions... ...Officer to join our client in a role that supports key business operations and contributes... ...readiness for regulatory reviews, audits, and examinations through effective monitoring...Contract workTemporary workWork at officeLocal areaMonday to Friday$91k - $321.5k
...At PwC, our people in risk and compliance focus on maintaining regulatory compliance and managing... ...standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct,... ...Manage contract reviews and support engagement planning by applying risk management...Contract workH1b$106.9k - $147k
...analyses, and works directly to support business intelligence.... ...completeness Understanding Risk Arrangement contracts and modeling... ...for people with Medicare and Medicaid, families, individuals,... ...take affirmative action, in compliance with Section 503 of the Rehabilitation...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$64.49k - $105.95k
...their financial futures, and actively support our Communities so they can fully... ...and our purpose. The Governance, Risk, and Compliance Analyst is responsible for supporting the bank... ...objectives. The analyst will support audits, conduct risk assessments, track action...Full timeWork at officeFlexible hours- ...in Columbus, OH is seeking a senior HSE professional to lead safety programs and compliance across the site. You will drive risk assessment, incident investigations, training, and audits while collaborating with line management. The role requires a Bachelor’s in HSE/engineering...
- KeyBank is seeking a Compliance Officer to join the Real Estate Lending and Enterprise Default team within Compliance Risk Management in Ohio. You will research, interpret, and apply the assigned laws and regulations to each applicable business process and system, providing...
- ...organization. The role focuses on assessing risks, reviewing controls, and documenting... ...’s degree in accounting and 3-5 years of audit or accounting experience are required; some... ...propose improvements to enhance controls and compliance. #J-18808-Ljbffr Consolidated Employer...
- JPMorgan Chase & Co. in the United States seeks a Compliance and Operations Risk Test Specialist to advance our testing efforts within the Testing... ...testing processes with precision and accountability to support compliant and risk-aware operations. You will evaluate control...
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